Geriatric Medicine

Training Pathway


Higher Specialist Training

Following basic specialty training doctors may choose to continue training at higher specialist training level. Doctors must decide the specialty they wish to pursue.

The information below outlines important information about higher training in the specialty of Geriatric Medicine.

Entry Requirements

Applicants for Higher Specialist Training (HST) in Geriatric Medicine must have completed a minimum of two years Basic Specialist Training (BST) in approved posts and obtained the MRCPI or (UK*).

Duration & Organisiation of Training

The duration of HST in Geriatric Medicine is 4 years, one year of which may be gained from a period of full-time research. Those who wish to obtain dual certification in Geriatric Medicine and in General (Internal) Medicine will require at least a fifth year of training

No particular order or sequence of training will be imposed and programmes offered should be flexible i.e. capable of being adjusted to meet trainees’ needs. The earlier years will usually be directed towards acquiring a broad general experience of Geriatric Medicine under appropriate supervision.

A trainee in Geriatric Medicine should develop expertise the clinical, rehabilitative, preventive, and social aspects of illness in the older adult. Specific expertise should be gained in the comprehensive assessment and management of older people with acute and chronic illness in a wide variety of clinical settings – in hospital, at the out-patients department, in an ambulatory care setting, in continuing long term care & in the patients’ own home.

Particular expertise needs to be acquired in the diagnosis and treatment of acute illness in older people where clinical presentation can be non-specific and/or atypical. Development of skills and expertise in the diagnosis and management of the principal problems (syndromes) in Geriatric Medicine such as falls, acute confusion, mobility disorders or incontinence is required.

Experience must be gained in the multi-disciplinary approach to management of patients, a central component of all geriatric medicine services.

For more information on the training programme click here


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